Oblique Pedicled Paraumbilical Perforator-Based Flap for Reconstruction of Complex Proximal and Mid-Forearm Defects: A Report of Two Cases

被引：14

作者：

O'Shaughnessy, Kristina D.

Rawlani, Vinay

Hijjawi, John B.

Dumanian, Gregory A.

机构：

[1] Northwestern Univ, Div Plast & Reconstruct Surg, Feinberg Sch Med, Chicago, IL 60611 USA

[2] Med Coll Wisconsin, Dept Plast & Reconstruct Surg, Milwaukee, WI 53226 USA

来源：

JOURNAL OF HAND SURGERY-AMERICAN VOLUME | 2010年 / 35A卷 / 07期

关键词：

Paraumbilical; pedicled flap; perforator flap; proximal forearm; upper extremity reconstruction; INFERIOR EPIGASTRIC FLAP; HAND; MUSCLE;

D O I：

10.1016/j.jhsa.2010.03.036

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Reconstruction of complex proximal and mid-forearm wounds can be challenging. Free tissue transfer might not be feasible in certain patients or at institutions lacking microsurgical expertise and equipment. Traditional pedicled flaps are either insufficient in length to reach more proximal forearm defects or are used sparingly due to donor site complications and extremity stiffness. We present a novel technique to reconstruct forearm defects using the oblique pedicled paraumbilical perforator (PUP) based flap. This flap is simple to harvest, has low donor site morbidity, and allows elbow and shoulder range of motion during the interval between flap transfer and pedicle division. (J Hand Surg 2010;35A:1105-1110. (C) 2010 Published by Elsevier Inc. on behalf of the American Society for Surgery of the Hand.)

引用

页码：1105 / 1110

页数：6

共 26 条

[21] Reconstruction of a defect after harvesting a radial forearm flap using a narrow pedicled paraumbilical perforator-based subdermal vascular network (super-thin) flap [J].